Istoriya Bolezni Po Pediatrii Pnevmoniya

Pediatrii

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* Another hero take all his action * Draw 1 Activation Deck, until you reveal a card from the monster group that was not activated before. Just a brief description in order to play test. Print the 12 cards that will form 3 decks * Activation Deck (3 cards for Ettin and 3 for Goblin Archer) * Adventure Deck (5 General Cards) * Encounter Deck (1 First Blood - Introduction) Monsters are deployed as the Quest Guide describe, add the monsters in the center of the tile as possible. Gameplay: * 1 hero start and do all their action * Draw 1 Activation Deck, and follow it's instruction, just remember the Encounter card, it may change the monster activation. Shabloni bukletov dlya publisher word. Setup the encounter the same way you normally do with Overlord player.

Mahlinovskaya, G.K. Lapshina, S.G. Kulakova, T.D. Tihonova Detskaya gorodskaya klinicheskaya bol'nica N 9 im. Speranskogo, Moskva Klyuchevye slova: - redkoe zabolevanie, otnositsya k gruppe boleznei, svyazannyh s narusheniem obmena lipidov [1, 2].

Metabolicheskim defektom yavlyaetsya otsutstvie kisloi fosfatazy, vedushee k nakopleniyu holesterina, ego efirov, trigliceridov v teh tkanyah, gde naibolee intensivno proishodit ih sintez, - v kore nadpochechnikov, pecheni, slizistoi kishechnika [3- 7]. Otlozhenie lipidov soprovozhdaetsya uvelicheniem pecheni, selezenki, limfouzlov.

Istoriya Venery i Tangeizera: Povest'/ O. Berdslei (Russian) Paperback – January 1, 2003. By Ne ukazan (Author) Be the first to review this item. See all formats and editions Hide other formats and editions. Price New from Used from Paperback, January 1, 2003.

Patognomonichnym yavlyaetsya nakoplenie bol'shogo kolichestva kal'ciya v zonah zhirovyh nekrozov v nadpochechnikah, chto delaet vozmozhnym prizhiznennuyu diagnostiku etogo zabolevaniya rentgenologicheskimi metodami (obzornyi spisok organov bryushnoi polosti, komp'yuternaya tomografiya). V perifericheskoi krovi poyavlyayutsya vakuolizirovannye limfocity, neredko anemiya, v kostnom mozge - penistye kletki. Alazhillya, klinicheskie simptomy razvivayutsya v pervye dni ili nedeli zhizni [1]. Rvota, diareya bystro privodyat k gipotrofii, cherez neskol'ko nedel' otmechaetsya razvernutaya kartina:, uvelichenie zhivota, pecheni i selezenki.

Zabolevanie fatal'no, letal'nyi ishod nastupaet obychno v pervye 6 mes zhizni, nasledovanie po autosomno-recessivnomu tipu. Privodim sobstvennoe nablyudenie. Gospitalizirovana v Detskuyu gorodskuyu klinicheskuyu bol'nicu N 9 v vozraste 3 mes po povodu gepatosplenomegalii,, gipotrofii. Devochka rodilas' u molodyh zdorovyh roditelei, ot pervoi beremennosti, protekavshei s anemiei, ugrozoi preryvaniya vo vtoroi polovine, otmechalas' kal'cinaciya placenty. Rody v srok, massa tela 3300 g, dlina 52 sm. V svyazi s podozreniem na aspiraciyu molokom v vozraste 2 ned rebenok nahodilsya v stacionare, gepatosplenomegaliya i anemiya togda otsutstvovali. Vskarmlivalas' molochnymi smesyami, otmechalas' umerennaya gipotrofiya.

Pediatrii

Psihomotornoe razvitie sootvetstvovalo vozrastu. V 3-mesyachnom vozraste vyyavlena anemiya (87 g/l), uvelichenie pecheni i selezenki. Pri gospitalizacii devochka aktivnaya, veselaya, appetit ne narushen, srygivaniya redkie, otmechalas' subikterichnost' kozhi i skler.

Vedushimi byli priznaki portal'noi gipertenzii, gipotrofii II stepeni i anemiya. Zhivot rezko uvelichen v ob'eme, na perednei poverhnosti zhivota razvita venoznaya set', pechen' massivnaya, plotnaya, s rovnym kraem, uvelicheniem obeih dolei, vystupala iz-pod kraya rebernoi dugi po perednei aksillyarnoi linii na 7 sm, po sredneklyuchichnoi linii - na 6 sm, po srednei linii zhivota - na 2/3.

Selezenka plotnoi konsistencii pal'pirovalas' na 3 sm iz-pod kraya rebernoi dugi. Stul 3-4 raza v sutki neperevarennyi, zhidkii, s nebol'shim kolichestvom slizi, okrashennyi. Mocha svetlaya, diurez adekvatnyi. Analiz mochi normal'nyi. V analize krovi: Hb 102 g/l, er. 3,1•10 12l -1, rc. 180•10 9l -1, l.